Lab & pathology prices at Ingalls Memorial Hospital

Harvey, IL · every code in this section with a posted price and a Medicare benchmark.

831 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $238 $238 10.4×
5 Nucleotidase (83915) $155 $155 13.9×
Abl1 gene analysis kinase domain variants (81170) $741 $741 2.5×
Acetylcholine receptor binding antibody (86041) $156 $156 8.5×
Acetylcholine receptor blocking antibody (86042) $156 $156 8.5×
Acetylcholinesterase Assay (82013) $231 $231 18.8×
Acetylcholn Rcptr Modlg Antb (86043) $156 $156 12.9×
Acth (82024) $406 $406 10.5×
Acth Stimulation Panel Adrenal Insufficiency (80400) $358 $358 11.0×
Actin smooth muscle antibody each (86015) $274 $274 22.7×
Acute hepatitis panel (80074) $710 $710 14.9×
Acylcarnitines Quant (82017) $342 $342 20.3×
Adenovirus antibody (86603) $231 $231 17.9×
Afp-l3 fraction isoform & total afp w/ratio (82107) $254 $254 3.9×
Albumin Fluid (82042) $106 $106 13.6×
Albumin serum (82040) $113 $113 22.8×
Aldolase (82085) $159 $159 16.4×
Aldosterone urine (82088) $360 $360 8.8×
Alkaline phosphatase isoenzymes (84080) $177 $177 12.0×
Allergen specific ige (86003)
range across 9 matching MRF lines
$61–$63 $61–$63 varies
Allergen specific igg (86001) $145 $145 18.5×
Allg Spec Ige Recomb Ea (86008)
range across 2 matching MRF lines
$61–$118 $61–$118 varies
Alpha-1-antitrypsin phenotype (82104) $365 $365 25.2×
Alpha-1-antitrypsin total (82103) $224 $224 16.7×
Alpha-Fetoprotein Amniotic Fluid (82106) $277 $277 16.3×
Alpha-Fetoprotein Serum (82105) $233 $233 13.9×
Alt (sgpt) (84460) $167 $167 31.5×
Aluminum (82108) $190 $190 7.5×
Amikacin trough (80150) $350 $350 23.2×
Amino Acids 1 Quantitative Each Specimen (82131) $465 $465 20.2×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $1,024 $1,024 60.7×
Aminolevulinic acid (ala) (82135) $655 $655 39.8×
Ammonia (82140) $270 $270 18.5×
Amniotic fluid protein test on cervicovaginal fluid (84112) $293 $293 3.0×
Amylase urine (82150) $246 $246 38.0×
Ana Titer (86039) $245 $245 22.0×
Analysis skeletal muscle (88355) $574 $574 3.1×
Anca screen each antibody (86036) $266 $266 22.1×
Anca Titer Each Antibody (86037) $217 $217 18.0×
Androstenedione (82157) $362 $362 12.4×
Angiotensin converting enzyme csf (82164) $270 $270 18.5×
Anti-Phospholipid Antibody (86148) $222 $222 13.8×
Antibody aspergillus (86606) $210 $210 14.0×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $198 $198 12.8×
Antibody Cytomegalovirus Cmv Igm (86645) $226 $226 13.4×
Antibody Encephalitis California La Crosse (86651) $249 $249 18.9×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $198 $198 15.1×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $162 $162 10.6×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $236 $236 13.0×
Antibody Fungus Not Elsewhere Specified (86671) $209 $209 17.1×
Antibody haemophilus influenza (86684) $255 $255 16.1×
Antibody Herpes Smplx Non-Specific Type Test (86694) $186 $186 12.9×
Antibody Herpes Smplx Type 1 (86695) $176 $176 13.3×
Antibody HIV-1&HIV-2 single result (86703) $268 $268 19.5×
Antibody HIV-2 (86702)
range across 2 matching MRF lines
$329–$339 $329–$339 varies
Antibody Hla Class I High Definition Panel Qual (86832) $561 $561 1.7×
Antibody Hla Class I Phenotype Panel Qualitative (86830) $502 $502 5.3×
Antibody Hla Class II Phenotype Panel Qual (86831) $502 $502 6.1×
Antibody htlv/HIV antibody confirmatory test (86689) $395 $395 20.4×
Antibody identification leukocyte antibodies (86021) $350 $350 23.3×
Antibody Identification Platelet Immunogl Assay (86023) $238 $238 19.1×
Antibody john cunningham virus (86711) $2,099 $2,099 124.3×
Antibody Protozoa Nes (86753)
range across 3 matching MRF lines
$80–$297 $80–$297 varies
Antibody Titer (86886) $279 $279 53.9×
Antibody Treponema Pallidum (86780)
range across 3 matching MRF lines
$186–$191 $186–$191 varies
Antibody; encephalitis, st. louis (86653) $249 $249 18.9×
Antigen typing (86905) $94 $94 24.5×
Antinuclear antibodies (86038) $285 $285 23.6×
Antistreptolysin O Screen (86063) $480 $480 83.2×
Antistreptolysin o titer (86060) $184 $184 25.2×
Antithrombin iii activity (85300) $278 $278 23.5×
Antithrombin iii antigen (85301) $351 $351 32.5×
Apolipoprotein a1 (82172)
range across 3 matching MRF lines
$89–$166 $89–$166 varies
Aqaprn-4 Antb Flo Cytmtry Ea (86053) $1,765 $1,765 46.8×
Arsenic (82175) $216 $216 11.4×
Aspergillus ag eia (87305) $200 $200 16.7×
Assay activated protein c (85307) $365 $365 23.8×
Assay Blood Carbon Dioxide (82374) $102 $102 20.9×
Assay Nephelometry Not Spec (83883) $187 $187 13.8×
Assay of 5-hiaa (83497) $277 $277 21.5×
Assay of anti-mullerian hormone (82166) $138 $138 3.6×
Assay of b-hexosaminidase each assay (83080) $416 $416 24.7×
Assay of blood/uric acid (84550) $137 $137 30.3×
Assay of calcium in urine (82340) $162 $162 26.9×
Assay of cpk in blood (82552) $150 $150 11.2×
Assay of estrone (82679) $270 $270 10.8×
Assay of g6pd enzyme (82955) $245 $245 25.3×
Assay of gammaglobulin igm (82784)
range across 6 matching MRF lines
$213–$219 $213–$219 varies
Assay of lactic acid (83605) $190 $190 16.4×
Assay of manganese (83785) $364 $364 13.7×
Assay of metanephrines (83835)
range across 2 matching MRF lines
$179–$370 $179–$370 varies
Assay of proinsulin (84206) $462 $462 17.3×
Assay of pyruvate (84210) $148 $148 10.2×
Assay of serotonin (84260) $431 $431 13.9×
Assay of serum potassium (84132) $129 $129 27.1×
Assay of sweat sodium (84302) $85 $85 17.5×
Assay of transcortin (84449) $189 $189 10.5×
Assay of urea nitrogen (84520) $156 $156 39.5×
Assay of urine vma (84585) $284 $284 18.3×
Assay of vasoactive intestinal peptide (84586) $822 $822 23.3×
Assay of vitamin b-1 (84425) $370 $370 17.4×
Assay Ph Body Fluid Nos (83986) $99 $99 27.7×
Assay Phosphohexose Enzymes (84087) $588 $588 54.8×
Assay spec xcp ur&breath ia (82077) $362 $362 21.0×
Asy carbamazepin 10,11-epxid (80161) $295 $295 15.8×
Atn1 Gene Analysis Eval Detect Abnormal Alleles (81177) $276 $276 2.0×
Atxn1 Gene Analysis Eval Detect Abnormal Alleles (81178) $276 $276 2.0×
ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles… (81183) $276 $276 2.0×
Atxn2 Gene Analysis Eval Detect Abnormal Alleles (81179) $276 $276 2.0×
Atxn3 Gene Analysis Eval Detect Abnormal Alleles (81180) $276 $276 2.0×
Atxn7 Gene Analysis Eval Detect Abnormal Alleles (81181) $276 $276 2.0×
ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect… (81182) $276 $276 2.0×
Autol Bld/Component Collj Storage Predeposited (86890) $484 $484 2.7×
Automated Leukocyte Count (85048) $95 $95 37.4×
B cells total count (86355) $900 $900 23.9×
Bartonella antibody (86611) $92 $92 9.0×
Bcr/abl1 gene major bp (81206) $1,461 $1,461 8.9×
Bcr/abl1 gene minor bp (81207) $204 $204 1.4×
Bcr/Abl1 Gene Other Bp (81208) $561 $561 2.6×
Beta 2 glycoprotein i antibody each (86146) $236 $236 9.3×
Beta hydroxybutyrate (82010) $146 $146 17.9×
Beta Lactamase (87185) $117 $117 24.6×
Beta-2 Microglobulin (82232) $281 $281 17.4×
Beta-amyloid; 1-42 (abeta 42) (82234)
range across 2 matching MRF lines
$526–$659 $526–$659 varies
Bile acids total (82239) $170 $170 9.9×
Bilirubin direct (82248) $134 $134 26.7×
Bilirubin total (82247) $150 $150 29.9×
Biotinidase (82261) $234 $234 13.9×
Bl Smear W/O Diff Wbc Count (85008) $46 $46 13.4×
Blastomyces antibody (86612) $214 $214 16.6×
Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) $175 $175 5.6×
Bld Typing Serologic Rh Phnt (86906) $183 $183 23.6×
Blood Count Automated Differential Wbc Count (85004) $87 $87 13.4×
Blood Count Manual Cell Count Each (85032) $68 $68 15.8×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $112 $112 29.5×
Blood gas (82803) $422 $422 16.2×
Blood gases w/02 saturation (82805) $422 $422 5.4×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $116 $116 7.3×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $73 $73 16.7×
Blood Type Antigen Donor Reagent Serum Each (86902) $330 $330 52.0×
Blood typing serologic abo (86900) $261 $261 87.3×
Body fluid cell count (89050) $239 $239 50.6×
Bone marrow smear interpretation (85097) $854 $854 1.0×
Bordetella antibody (86615) $183 $183 13.9×
Braf gene analysis (81210) $787 $787 4.5×
Brca1&2 gen full seq dup/del (81162) $3,672 $3,672 2.0×
Brucella antibody (86622) $163 $163 18.3×
C diff amplified probe (87493) $421 $421 11.3×
C-Peptide (84681) $246 $246 11.8×
C-reactive protein (86140) $152 $152 29.3×
Ca 19-9 (86301) $251 $251 12.1×
CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to… (81184) $276 $276 2.0×
Cadmium (82300) $165 $165 7.0×
Caffeine (80155) $249 $249 6.5×
Calcitonin (82308) $320 $320 11.9×
Calcium ionized (82330) $198 $198 14.5×
Calcium total (82310) $182 $182 35.3×
Calculus Spectroscopy (82365) $229 $229 17.8×
Calprotectin Fecal (83993) $254 $254 12.9×
Calr gene com variants (81219) $799 $799 6.6×
Cancer Antigen 125 (86304) $316 $316 15.2×
Cancer Antigen 27.29 (86300) $280 $280 13.5×
Candida Dna Dir Probe (87480) $108 $108 5.4×
Carbamazepine free (80157) $332 $332 25.1×
Carbamazepine total (80156) $394 $394 27.0×
Carbohydrate Deficient Transferrin (82373) $81 $81 4.5×
Carboxyhemoglobin (82375) $162 $162 13.1×
Carcinoembryonic antigen (82378) $361 $361 19.0×
Cardiolipin ab iga (86147) $278 $278 10.9×
Carnitine Quantitative Each Specimen (82379) $317 $317 18.8×
Carotene (82380) $124 $124 13.4×
Catecholamines fractionated (82384) $386 $386 15.3×
Ccp antibody (86200) $274 $274 21.2×
Cebpa Gene Analysis Full Gene Sequence (81218) $612 $612 2.5×
Cell count csf (89051) $239 $239 42.7×
Cell marker study (88182) $1,018 $1,018 18.2×
Cellular Function Assay Stimul&Detect Biomarke (86352)
range across 2 matching MRF lines
$760–$1,007 $760–$1,007 varies
Ceruloplasmin (82390) $214 $214 19.9×
Cftr gene com variants (81220)
range across 3 matching MRF lines
$772–$1,391 $772–$1,391 varies
Cftr gene dup/delet variants (81222) $529 $529 1.2×
Chemiluminescent assay (82397)
range across 5 matching MRF lines
$360–$513 $360–$513 varies
Chimerism w/comp to baseline w/cell selection ea (81268) $727 $727 2.8×
Chimerism w/comp to baseline w/o cell selection (81267) $727 $727 3.5×
Chlamydia antibody (86631) $129 $129 10.9×
Chlamydia Igm Antibody (86632) $98 $98 7.7×
Chloride other source (82438) $100 $100 20.0×
Chloride Serum (82435) $116 $116 25.2×
Chloride urine (82436) $92 $92 16.0×
Cholesterol total (82465) $136 $136 31.3×
Cholinesterase Serum (82480) $191 $191 24.3×
Chorionic gonadotropin test (84702) $288 $288 19.1×
Chrmsm Analysis Addl Cells Counted Each Study (88285) $575 $575 21.4×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $415 $415 12.4×
Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) $861 $861 5.0×
Chromium serum (82495) $322 $322 15.9×
Chromogenic Substrate Assay (85130) $327 $327 27.5×
Chromogranin a (86316) $305 $305 14.7×
Chromosome analys amniotic (88269) $1,525 $1,525 8.8×
Chromosome Analysis 15-20 (88262) $1,885 $1,885 15.0×
Chromosome Analysis 20-25 (88264) $1,820 $1,820 12.6×
Chromosome analysis 45 cells (88263) $1,834 $1,834 12.2×
Chromosome analysis, 5 (88261) $1,305 $1,305 4.9×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $256 $256 7.3×
Citric acid urine (82507) $283 $283 10.2×
Ckmb (82553) $282 $282 24.4×
Clostridium Difficile (87324) $398 $398 33.2×
Clot Factor VIII Multimetric (85247) $348 $348 15.2×
Clotting factor xii hageman (85280) $591 $591 30.5×
Clotting Funct Activity (85397) $502 $502 16.3×
Cns DNA amp probe type 12-25 (87483) $871 $871 2.1×
Coagulation time activated (85347) $129 $129 30.1×
Coccidioides antibody (86635) $167 $167 14.6×
Cold agglutinin titer (86157) $134 $134 16.6×
Collagen crosslinks (82523) $198 $198 10.6×
Column Chromotography Quant (82542)
range across 7 matching MRF lines
$281–$590 $281–$590 varies
Compatibility test antiglob (86922) $202 $202 1.1×
Complement Antigen Each Component (86160) $254 $254 21.2×
Complement Total (Ch50) (86162) $315 $315 15.5×
Complement/Function Activity (86161) $225 $225 18.8×
Consltj Compre Review Reprt Referred Matrl (88325) $1,206 $1,206 6.6×
Consltj&Reprt Slides Prepared Elsewhere (88321) $551 $551 13.8×
Coombs direct (86880) $137 $137 25.4×
Copper urine (82525) $199 $199 16.0×
Cortisol free (82530)
range across 2 matching MRF lines
$105–$282 $105–$282 varies
Cortisol saliva (82533) $347 $347 21.3×
Creatine kinase total (82550) $206 $206 31.6×
Creatinine blood (82565) $112 $112 21.9×
Creatinine clearance (82575) $270 $270 28.5×
Creatinine Urine (82570) $149 $149 28.8×
Crossmatch electronic (86923) $338 $338 1.9×
Crossmatch immediate spin (86920) $174 $174 1.0×
Crp High Sensitivity (86141) $186 $186 14.4×
Cryofibrinogen (82585) $99 $99 7.0×
Cryoglobulin (82595) $174 $174 26.9×
Cryptococcus ag titer (87899)
range across 5 matching MRF lines
$84–$141 $84–$141 varies
Cryptosporidium ag eia (87328) $179 $179 13.0×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $132 $132 16.3×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $143 $143 17.7×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $153 $153 19.8×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $1,183 $1,183 5.4×
Culture aerobic quant other (87071)
range across 3 matching MRF lines
$376–$432 $376–$432 varies
Culture afb (87116) $497 $497 46.0×
Culture Anaerobic (87075) $541 $541 57.1×
Culture blood (87040) $357 $357 34.6×
Culture chlamydia (87110) $319 $319 16.3×
Culture csf (87070) $382 $382 44.3×
Culture fungus (87102) $270 $270 32.1×
Culture fungus blood (87103) $248 $248 12.1×
Culture screen only (87081)
range across 12 matching MRF lines
$205–$214 $205–$214 varies
Culture stool (87045) $323 $323 34.2×
Culture typing if ea antiserum (87140) $198 $198 35.5×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $70 $70 13.5×
Culture urine (87086) $279 $279 34.6×
Cyanide (82600) $318 $318 16.4×
Cyclosporine (80158) $338 $338 18.7×
Cystatin C (82610) $159 $159 8.6×
Cytogenetics 10-30 (88273) $292 $292 8.4×
Cytogenetics 100-300 (88275) $558 $558 10.9×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $2,473 $2,473 2.1×
Cytomegalovirus igg (86644) $164 $164 11.4×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $239 $239 11.8×
Cytopath Cell Enhance Tech (88112) $330 $330 5.9×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $244 $244 9.2×
Cytp C/V Flu Auto Thin Mnl Scr&Rescr Phys (88143) $284 $284 12.3×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $743 $743 13.3×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $414 $414 2.3×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $453 $453 11.3×
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $1,765 $1,765 9.7×
Deoxycortisol (82634) $282 $282 9.6×
Deoxyribonuclease antibody (86215) $194 $194 14.6×
Desoxycorticosterone (82633) $185 $185 6.0×
Detect Agent Nos Dna Amp (87798)
range across 17 matching MRF lines
$214–$466 $214–$466 varies
Detect Agent Nos Dna Quant (87799)
range across 6 matching MRF lines
$581–$668 $581–$668 varies
Dgp Antibody Each Ig Class (86258) $222 $222 18.4×
Dhea (82626) $445 $445 17.6×
Dhea-S (82627) $400 $400 18.0×
Digoxin (80162) $339 $339 25.5×
Dihydrotestosterone (82642) $91 $91 3.1×
Dipropylacetic Acid Free (80165) $381 $381 28.1×
Dmd Duplication/Deletion Analysis (81161) $1,673 $1,673 6.0×
Dna Antibody Native/Double Stranded (86225) $338 $338 24.6×
Dna/Rna Amplified Probe (87150) $306 $306 8.7×
Dna/Rna Sequencing (87153) $449 $449 3.9×
Drug assay acetaminophen (80143) $322 $322 17.3×
Drug assay adalimumab (80145) $317 $317 8.2×
Drug Assay Amiodarone (80151) $295 $295 15.8×
Drug Assay Everolimus (80169) $249 $249 18.1×
Drug assay felbamate (80167) $295 $295 15.8×
Drug Assay Infliximab (80230) $296 $296 7.7×
Drug Assay Itraconazole (80189) $115 $115 4.2×
Drug Assay Lacosamide (80235) $194 $194 7.2×
Drug Assay Vedolizumab (80280) $393 $393 10.2×
Drug assay voriconazole (80285) $203 $203 7.5×
Drug Screen Quant Clozapine (80159) $249 $249 12.4×
Drug Screen Quant Zonisamide (80203) $249 $249 18.8×
Drug Screen Quantitative Gabapentin (80171) $249 $249 11.5×
Drug Screen Quantitative Lamotrigine (80175) $249 $249 18.8×
Drug Screen Quantitative Levetiracetam (80177) $249 $249 18.8×
Drug Screen Quantitative Oxcarbazepine (80183) $249 $249 18.8×
Drug Screen Quantitative Procainamide Metabolite (80192) $300 $300 17.9×
Drug Screen Quantitative Tiagabine (80199) $147 $147 5.4×
Drug Test Prsmv Chem Anlyzr (80307)
range across 16 matching MRF lines
$120–$556 $120–$556 varies
Egfr Gene Analysis Common Variants (81235) $905 $905 2.8×
Ehrlichia antibody (86666) $170 $170 16.7×
El-1 Fecal Quantitative (82653) $241 $241 10.5×
Electrolyte panel (80051) $272 $272 38.8×
Electron Microscopy (88348) $2,786 $2,786 3.2×
Electrophoretic Test - Immunofixation Electrophoresis (82664) $543 $543 8.8×
Encephaltis East Eqne Anbdy (86652) $249 $249 18.9×
Encephaltis West Eqne Antbdy (86654) $249 $249 18.9×
Endomysial Antibody Each Immunoglobulin Class (86231) $357 $357 29.5×
Enterovirus Antibody (86658) $105 $105 8.1×
Enterovirus PCR (87498) $138 $138 3.9×
Enzyme cell activity (82657)
range across 3 matching MRF lines
$487–$611 $487–$611 varies
Enzyme histochemistry (88319) $467 $467 0.5×
Erythropoietin (82668) $318 $318 16.9×
Estradiol serum (82670) $230 $230 8.2×
Estrogens fractionated (82671) $421 $421 13.0×
Ethosuximide (80168) $277 $277 17.0×
Ethylene Glycol (82693) $785 $785 52.7×
Exam Synovial Fluid Crystals (89060) $176 $176 24.0×
Exome Sequence Analysis (81415) $10,300 $10,300 2.2×
F2 Gene (81240) $944 $944 14.4×
Factor ii activity (85210) $394 $394 30.4×
Factor Inhibitor Test (85335) $264 $264 20.5×
Factor ix activity (85250) $520 $520 27.3×
Factor v activity (85220) $410 $410 23.2×
Factor v leiden mutation (81241) $850 $850 11.6×
Factor vii assay (85230) $518 $518 28.9×
Factor viii assay (85240) $436 $436 24.4×
Factor X (85260) $449 $449 25.1×
Factor xi activity (85270) $537 $537 30.0×
Fat/Lipids Feces Quantitative (82710) $305 $305 18.2×
Fatty acids free (82725) $163 $163 8.7×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $327 $327 19.0×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $110 $110 16.8×
Ferritin (82728) $250 $250 18.3×
Fetal Chrmoml Aneuploidy (81420) $1,258 $1,258 1.7×
Fetal Congenital Abnor Assay Four Anal (81511) $1,155 $1,155 7.5×
Fetal screen rosette (85461) $73 $73 7.8×
Fibrin Degradation Quant (85379) $249 $249 24.5×
Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Facility (85370) $327 $327 26.3×
Fibrinogen activity (85384) $234 $234 24.1×
Flecainide level (80181) $295 $295 15.8×
Flow cytometry first marker (88184) $422 $422 1.1×
Flt3 Gene (81245) $429 $429 2.6×
Flt3 gene analysis (81246) $184 $184 2.2×
Fluorescent antibody screen (86255)
range across 15 matching MRF lines
$168–$357 $168–$357 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 4 matching MRF lines
$90–$233 $90–$233 varies
Fluoride serum (82735) $198 $198 10.7×
Fmr1 Gene Charac Alleles (81244) $1,497 $1,497 33.3×
Fmr1 gene detection (81243)
range across 4 matching MRF lines
$276–$367 $276–$367 varies
Folic acid rbc (82747) $318 $318 18.0×
Folic Acid Serum (82746) $281 $281 19.1×
Follicle Stimulating Hormone (83001) $283 $283 15.2×
Frozen Section (88331) $466 $466 2.6×
Fungi Identification Mold (87107) $207 $207 20.1×
Fungi Identification Yeast (87106) $206 $206 20.0×
Fxn Gene Analysis Eval Detect Abnormal Alleles (81284) $276 $276 2.0×
G6pd gene analysis full gene sequence (81249) $1,616 $1,616 2.7×
Galactokinase rbc (82759) $395 $395 18.4×
Galactose transferase test (82776) $44 $44 3.7×
Galactose-1-Phosphate Uridyl Transferase Quan (82775) $246 $246 11.7×
Gammaglobulin ige (82785) $207 $207 12.6×
Gardner vag DNA dir probe (87510) $108 $108 5.4×
Gases Blood O2 Saturation Only Direct Meas (82810) $232 $232 23.7×
Gases blood ph only (82800) $137 $137 12.5×
Gastrin (82941) $321 $321 18.2×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $2,459 $2,459 5.9×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450)
range across 7 matching MRF lines
$3,100–$7,865 $3,100–$7,865 varies
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) $6,412 $6,412 2.2×
Genetic Tstg Severe Inh Cond (81443)
range across 5 matching MRF lines
$4,633–$4,892 $4,633–$4,892 varies
Gentamicin (80170) $375 $375 22.9×
Ggt (82977) $137 $137 19.0×
Giardia antigen (87329) $179 $179 14.9×
Giardia lamblia antibody (86674) $176 $176 12.0×
Glucagon (82943) $189 $189 13.2×
Glucose 2 hr pp (82950) $142 $142 29.9×
Glucose Blood Test (82962) $71 $71 21.6×
Glucose body fluid (82945) $122 $122 31.0×
Glucose Serum (82947) $137 $137 34.9×
Glucose tolerance test (gtt) (82951) $365 $365 28.4×
Glycated Protein (82985) $222 $222 13.2×
Gonadotropin Chorionic Qualitative (84703) $232 $232 30.9×
Growth hormone (83003) $279 $279 16.7×
Growth Hormone Stimulation Panel (80428) $1,350 $1,350 20.2×
Gtt-added samples (82952) $187 $187 47.7×
H Pylori (C-13) Breath (83013) $343 $343 5.1×
Haloperidol (80173) $217 $217 13.8×
Haptoglobin (83010) $226 $226 18.0×
Hba1/hba2 full gene sequence (81259)
range across 2 matching MRF lines
$1,045–$1,056 $1,045–$1,056 varies
Hba1/Hba2 Gene (81257) $1,861 $1,861 18.2×
Hba1/Hba2 Gene Dup/Del Vrnts (81269) $773 $773 3.8×
Hbb Full Gene Sequence (81364) $1,046 $1,046 3.2×
Hdl Cholesterol (83718) $255 $255 31.1×
Helicobacter Pylori Stool (87338) $190 $190 13.2×
Helminth Antibody (86682)
range across 5 matching MRF lines
$145–$304 $145–$304 varies
Hematocrit (85014) $87 $87 36.7×
Hemoglobin (85018) $89 $89 37.6×
Hemoglobin a1c (83036) $216 $216 22.2×
Hemoglobin Chromotography (83021) $252 $252 14.0×
Hemoglobin electrophoresis (83020) $168 $168 13.1×
Hemoglobin Methemoglobin Quantitative (83050) $156 $156 19.0×
Hemoglobin plasma (83051) $133 $133 18.2×
Hemosiderin urine (83070) $174 $174 36.6×
Hep a ab igm (86709) $232 $232 20.6×
Heparin assay (85520) $331 $331 25.3×
Heparin Neutralization (85525) $102 $102 8.6×
Hepatitis a antibody total (86708) $225 $225 18.2×
Hepatitis b core ab igm (86705) $189 $189 16.1×
Hepatitis b core ab total (86704) $258 $258 21.4×
Hepatitis b surface ag quan (87467) $522 $522 20.6×
Hepatitis B Surface Antibody (86706) $125 $125 11.6×
Hepatitis B Surface Antigen (87340) $314 $314 30.4×
Hepatitis Be Antibody (86707) $250 $250 21.6×
Hepatitis Be Antigen (87350) $300 $300 26.0×
Hepatitis C Antibody (86803) $258 $258 18.1×
Hepatitis c antibody confirmatory test (86804) $446 $446 28.8×
Hepatitis C Genotype (87902) $1,852 $1,852 7.2×
Hepatitis C Probe&Rvrs Trnsc (87521) $709 $709 20.2×
Hepatitis C Revrs Trnscrpj (87522)
range across 2 matching MRF lines
$118.71–$763 $118.71–$763 varies
Hepatitis d quantification (87523) $183 $183 4.3×
Hepatitis Delta Agent Antibody (86692) $241 $241 14.0×
Hereditary peripheral neuropathy gen seq pnl (81448) $5,049 $5,049 8.6×
Herpes simplex type 2 (86696) $183 $183 9.5×
Heterophile Antibody Screen (86308) $200 $200 38.6×
Hfe Gene (81256) $964 $964 14.7×
Histamine urine (83088)
range across 2 matching MRF lines
$187–$199 $187–$199 varies
Histoplasma antibody (86698) $156 $156 11.3×
Histoplasma antigen urine (87385) $407 $407 30.7×
Hiv Antigen W/Hiv Antibodies (87806) $314 $314 9.6×
Hiv Genotype (87901) $2,012 $2,012 7.8×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $348 $348 14.5×
Hiv-1 Antibody (86701) $270 $270 30.4×
HIV-1 p24 antigen (87390) $386 $386 16.0×
Hiv-1 Quant&Revrse Trnscrpj (87536) $827 $827 9.7×
HIV-2 probe&revrse trnscripj (87538) $640 $640 18.2×
Hla Class I Typing High Resolution One Locus Ea (81380)
range across 2 matching MRF lines
$735.50–$828 $735.50–$828 varies
Hla Class I Typing Low Resolution One Locus Each (81373) $1,324 $1,324 10.4×
Hla class i&ii antibody qual (86828) $841 $841 13.1×
Hla class ii high defin qual (86833) $561 $561 1.7×
Hla class ii typing high resolution one locus ea (81382) $828 $828 6.7×
Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) $841 $841 7.7×
Hla Crossmatch Noncytotoxic Addl Serum/Dilution (86826) $841 $841 23.0×
Hla I Low Resolution One Antigen Equivalent Each (81374) $711 $711 9.6×
Hla I Typing 1 Allele Hr (81381) $677 $677 4.0×
Hla i&ii high resolution hla-a -b -c and -drb1 (81378) $882 $882 2.6×
Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) $553 $553 2.5×
Hla ii type 1 ag equiv lr (81377) $657 $657 6.9×
Hla ii typing 1 locus lr (81376) $361.50 $361.50 3.0×
Hla-b27 (86812) $378 $378 14.6×
Homocysteine (83090) $285 $285 15.9×
Homogenization Tissue (87176) $91 $91 15.5×
Homovanillic acid urine (83150) $148 $148 6.6×
Hpv High-Risk Types (87624) $242 $242 6.9×
Hsv Dna Amp Probe (87529) $284 $284 8.1×
Htlv-I Antibody (86687) $150 $150 16.5×
Htt Gene Detc Abnor Alleles (81271) $413 $413 3.0×
Hydroxyprogesterone 17-d (83498) $320 $320 11.8×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $293 $293 28.4×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $360 $360 25.9×
Iaad Ia Streptococcus Group A (87430) $301 $301 17.9×
Iaadi parainfluenza virus each type (87279) $87 $87 5.3×
Iaadi pneumocustis carinii (87281) $243 $243 20.3×
Iaadiadoo trichomonas vaginalis (87808) $134 $134 8.8×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $125 $125 3.6×
Iadna Bartonella Amplified Probe Technique (87471) $368 $368 10.5×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $561 $561 16.0×
Iadna Candida Species Amplified Probe Tq (87481) $217 $217 6.2×
Iadna chlamydia pneumoniae amplified probe tq (87486) $374 $374 10.7×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $1,019 $1,019 29.0×
Iadna Cytomegalovirus Direct Probe Tq (87495) $648 $648 21.6×
Iadna Cytomegalovirus Quantification (87497) $874 $874 20.4×
Iadna ehrlichia chaffeensis amplified probe tq (87484) $125 $125 3.6×
Iadna hepatitis b virus amplified probe tq (87516) $281 $281 8.0×
Iadna Hepatitis B Virus Quantification (87517) $734 $734 17.1×
Iadna Herpes Virus-6 Amplified Probe Tq (87532) $565 $565 16.1×
Iadna Herpes Virus-6 Quantification (87533) $279 $279 6.7×
Iadna HIV-1 amplified probe & reverse transcrpj (87535)
range across 2 matching MRF lines
$199–$1,314 $199–$1,314 varies
Iadna Mycobacteria Species Direct Probe Tq (87550) $274 $274 13.7×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $852 $852 20.4×
Iadna Mycobacteria Tuberculosis Dir Prb (87555) $345 $345 12.8×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $404 $404 11.5×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $256 $256 7.3×
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $216 $216 4.2×
Idh1 common variants (81120) $272 $272 1.4×
Idh2 common variants (81121) $270 $270 0.9×
Ig Light Chains Free Each (83521) $187 $187 10.8×
Igg subclasses (82787) $130 $130 16.2×
Igh gene rearrange amp meth (81261) $2,340 $2,340 11.8×
Igh@ Variable Region Somatic Mutation Analysis (81263) $1,379 $1,379 4.7×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $697 $697 1.8×
Immune Complex Assay (86332) $258 $258 10.6×
Immunfix e-phorsis/urine/csf (86335) $331 $331 11.3×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 15 matching MRF lines
$174–$1,850 $174–$1,850 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317) $125 $125 8.3×
Immunoassay nonantibody (83516) $222 $222 19.3×
Immunofixation electrophoresis (86334) $334 $334 15.0×
Immunofluorescence per spec 1st singl antb stain (88346) $657 $657 3.6×
Immunohistochemistry (88342) $707 $707 3.9×
In situ hybridization 1st probe stain (88365) $759 $759 4.2×
Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) $278 $278 7.9×
Influenza assay w/optic (87804) $207 $207 12.5×
Influenza DNA amp probe (87502) $599 $599 6.3×
Inhibin A (86336) $254 $254 16.3×
Inhibin b (83520) $325 $325 18.8×
Insitu hybridization auto (88367) $1,004 $1,004 2.6×
Insitu hybridization manual (88368) $859 $859 2.2×
Insulin antibodies (86337) $290 $290 13.5×
Insulin free (83527) $120 $120 9.3×
Insulin total (83525) $229 $229 20.0×
Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x… (80432) $2,873 $2,873 17.3×
Interleukin-6 (83529) $325 $325 18.8×
Intrinsic factor antibody (86340) $255 $255 16.9×
Iron (83540) $159 $159 24.6×
Iron Binding Capacity (83550) $225 $225 25.7×
Irradiation Blood Product Each Unit (86945) $229 $229 5.7×
Islet cell antibody (86341)
range across 6 matching MRF lines
$126–$269 $126–$269 varies
Jak2 gene analysis p.val617phe variant (81270) $1,084 $1,084 11.8×
Jak2 Gene Trgt Sequence Alys (81279) $924 $924 5.0×
Kit Gene Analysis D816 Variant(S) (81273)
range across 2 matching MRF lines
$568–$592 $568–$592 varies
Kit Gene Analysis Targeted Sequence Analysis (81272) $1,242 $1,242 3.8×
Koh Prep (87220) $159 $159 37.2×
Kras Gene Analysis Additional Variant(S) (81276) $720 $720 3.7×
Kras Gene Variants Exon 2 (81275) $678 $678 3.5×
Lactate (ld) (ldh) enzyme (83615) $156 $156 25.8×
Lactoferrin fecal qualitative (83630) $204 $204 10.4×
Ldh Isoenzymes (83625) $259 $259 20.3×
LDL direct (83721) $127 $127 12.1×
Lead (83655) $147 $147 12.1×
Legionella antibody (86713) $323 $323 21.1×
Legionella antigen urine (87449)
range across 7 matching MRF lines
$338–$339 $338–$339 varies
Leptospira antibody (86720) $246 $246 15.2×
Leukocyte Assessment Fecal (89055) $129 $129 30.2×
Leukocyte Histamine Release (86343) $139 $139 11.2×
Level I Surg Pathology Gross Examination Only (88300) $209 $209 6.7×
Level ii surg pathology gross&microscopic exam (88302) $320 $320 8.0×
Level V Surg Pathology Gross&Microscopic Exam (88307) $1,025 $1,025 2.7×
Lidocaine (80176) $340 $340 23.1×
Lipase (83690) $250 $250 36.3×
Lipoprotein A (83695) $150 $150 10.5×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $118 $118 10.5×
Lithium (80178) $178 $178 26.9×
Liver ds alys 3 bmrk srm alg (81517) $141 $141 0.8×
Luteinizing Hormone (Lh) (83002) $218 $218 11.8×
Lyme disease antibody (86618) $252 $252 14.8×
Lymphocyte transformation (86353) $312 $312 6.4×
Lysozyme serum (85549) $222 $222 11.8×
M. Genitalium Amp Probe (87563) $241 $241 6.9×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $1,175 $1,175 6.4×
M/phmtrc alys ishquant/semiq (88374) $1,175 $1,175 6.4×
Macroscopic exam arthropod (87168) $256 $256 60.0×
Macroscopic Exam Parasite (87169) $69 $69 16.0×
Magnesium Urine (83735) $191 $191 28.5×
Mass Spectrometry Quant (83789)
range across 3 matching MRF lines
$115–$385 $115–$385 varies
Mercury urine (83825)
range across 3 matching MRF lines
$135–$179 $135–$179 varies
Methotrexate (80204) $295 $295 7.6×
Methylmalonic acid serum (83921) $321 $321 15.1×
Microalbumin, quantitative (82043) $160 $160 27.7×
Microbe Suscept Macrobroth (87188) $117 $117 17.6×
Microsatellite instability (81301) $939 $939 2.7×
Microsomal Antibodies Each (86376) $212 $212 14.6×
Mitochondrial Antibody Each (86381) $213 $213 8.4×
Mlh1 Gene (81288) $587 $587 3.1×
Mog-Igg1 Antb Flo Cytmtry Ea (86363)
range across 2 matching MRF lines
$223–$743 $223–$743 varies
Molecular Cytogenetics Dna Probe Each (88271) $472 $472 22.0×
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) $723 $723 17.1×
Molecular Pathology Procedure Level 3 (81402) $898 $898 6.0×
Molecular Pathology Procedure Level 6 (81405)
range across 3 matching MRF lines
$442–$773 $442–$773 varies
Mononuclear cell antigen (86356) $379 $379 14.2×
Mopath procedure level 1 (81400) $520 $520 8.1×
Mopath procedure level 2 (81401)
range across 5 matching MRF lines
$330–$1,544 $330–$1,544 varies
Mopath procedure level 4 (81403) $924 $924 5.0×
Mopath procedure level 5 (81404)
range across 2 matching MRF lines
$740–$1,274 $740–$1,274 varies
Mopath procedure level 7 (81406)
range across 2 matching MRF lines
$773–$5,204 $773–$5,204 varies
Mopath procedure level 9 (81408) $1,820 $1,820 0.9×
Mpl gene analysis sequence analysis exon 10 (81339) $761 $761 4.1×
Mpl gene common variants (81338) $898 $898 6.0×
Mrsa Pcr (87641) $381 $381 10.9×
Mthfr Gene Analysis Common Variants (81291) $1,020 $1,020 15.6×
Mumps antibody (86735) $189 $189 14.5×
Muscle-Specific Kinase Antb (86366) $714 $714 38.8×
Mycobacteric Identification (87118) $256 $256 17.5×
Mycophenolic Acid (80180) $249 $249 13.8×
Mycoplasma antibody (86738) $237 $237 17.9×
Myd88 Gene P.Leu265pro Vrnt (81305) $515 $515 2.9×
Myelin basic protein csf (83873) $323 $323 18.8×
Myoglobin urine (83874) $261 $261 20.2×
Natriuretic peptide (83880) $550 $550 14.0×
Neurofilament light chain (83884) $990 $990 8.5×
Neutralization Test Viral (86382) $277 $277 16.4×
Nfct Agent Genotype Hepatitis B Virus (87912) $857 $857 3.3×
Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) $1,444 $1,444 5.6×
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) $361 $361 2.5×
Nfct ds bv&vaginitis DNA alg (81515) $656 $656 2.5×
Nfct ds chrnc hcv 6 assays (81596) $453 $453 6.3×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $945 $945 7.3×
Nfct phexyp resist tiss cul HIV ea addl drug (87904) $419 $419 16.1×
Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) $3,509 $3,509 7.2×
Niacin (84591)
range across 2 matching MRF lines
$176–$306 $176–$306 varies
Nickel level (83885) $107 $107 4.4×
Nk cells total count (86357) $339 $339 9.0×
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $551 $551 2.2×
Nras gene variants exon 2&3 (81311) $1,020 $1,020 3.4×
Ntrk translocation analysis (81194) $1,233 $1,233 2.4×
Ntrk1 Translocation Analysis (81191) $494 $494 2.4×
Ntrk2 Translocation Analysis (81192) $494 $494 2.4×
Ntrk3 Translocation Analysis (81193) $494 $494 2.4×
Nuclear antigen antibody (86235) $214 $214 11.9×
Obstetric panel (80081) $1,197 $1,197 16.0×
Occult blood feces (82272) $117 $117 27.7×
Occult Blood Other Sources (82271) $89 $89 16.7×
Oligoclonal bands (83916) $355 $355 13.0×
Oncoprotein dcp (83951) $338 $338 5.2×
Organic Acids Qualitative Each Specimen (83919) $315 $315 19.1×
Osmolality serum (83930) $178 $178 26.9×
Osmolality Urine (83935) $370 $370 54.3×
Osmotic fragility rbc incubated (85557) $162 $162 12.1×
Osteocalcin (83937) $246 $246 8.2×
Ova and parasites smears (87177)
range across 2 matching MRF lines
$153–$260 $153–$260 varies
Oxalate urine (83945) $236 $236 16.3×
Pancreatic Elastase Fecal (82656) $432 $432 37.5×
Parvovirus antibody (86747) $171 $171 11.4×
Path Consltj Surg Cytologic Exam Initial Site (88333) $306 $306 0.4×
Pathology Consultation During Surgery (88329) $306 $306 4.8×
Ph urine (81003) $112 $112 49.8×
Phenobarbital Level (80184) $323 $323 21.1×
Phenotype Infect Agent Drug (87900) $271 $271 2.1×
Phenylalanine (84030) $142 $142 25.8×
Phenytoin (Dilantin) (80185) $376 $376 28.4×
Phenytoin free (80186) $171 $171 12.4×
Phosphatase acid prostatic (84066) $168 $168 17.4×
Phosphatase alkaline (84075) $198 $198 38.2×
Phosphorus Serum (84100) $135 $135 28.5×
Phosphorus urine (84105) $130 $130 22.5×
Pinworm exam (87172) $136 $136 31.9×
Platelet Aggregation (85576) $209 $209 8.4×
Platelet Antibodies (86022)
range across 6 matching MRF lines
$518–$971 $518–$971 varies
Platelet count automated (85049) $135 $135 30.1×
Platelet neutralization (85597) $182 $182 10.1×
Pooling blood platelets (86965) $471 $471 2.6×
Porphobilinogen Urine Qualitative (84106) $120 $120 20.6×
Porphobilinogen, urine; quantitative (84110) $242 $242 28.7×
Porphyrins Urine Quantitation & Fractionation (84120) $327 $327 22.2×
Potassium Urine (84133) $97 $97 20.5×
PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to… (81343) $276 $276 2.0×
Prealbumin (84134) $190 $190 13.0×
Pregnenolone (84140) $134 $134 6.5×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $190 $190 3.0×
Pretx serum rbc antibody identification dilution (86976) $869 $869 28.0×
Primidone (80188) $286 $286 17.2×
Procalcitonin (Pct) (84145) $376 $376 13.8×
Progesterone (84144) $238 $238 11.4×
Prolactin (84146) $335 $335 17.3×
Prostaglandin (84150) $117 $117 2.8×
Protein body fluid (84157) $182 $182 45.5×
Protein C Activity (85303) $338 $338 24.4×
Protein c antigen (85302) $278 $278 23.1×
Protein Electrophoresis Urine (84166) $225 $225 12.6×
Protein Electrophoretic Fractj&Quantj Serum (84165) $234 $234 21.8×
Protein S Free (85306) $431 $431 28.1×
Protein s total (85305) $463 $463 39.9×
Protein total serum (84155) $149 $149 40.6×
Protein Total Urine (84156) $210 $210 57.2×
Protein Western Blot Test (84182) $647 $647 22.1×
Prothrombin Time Substitution Plasma Frctj Each (85611) $153 $153 38.8×
Protoporphyrin rbc quantitative (84202) $179 $179 12.5×
PSA free (84154) $212 $212 11.5×
Pth Intact (83970) $551 $551 13.3×
Pyruvate kinase (84220) $194 $194 20.6×
Q Fever Antibody (86638) $71 $71 5.9×
Quantiferon tb gold plus (86480) $414 $414 6.7×
Quantitative assay drug (80299)
range across 12 matching MRF lines
$339–$390 $339–$390 varies
Quantitative Screen Metals (83018)
range across 2 matching MRF lines
$343–$360 $343–$360 varies
Quinidine (80194) $172 $172 11.8×
Rbc antibody elution (86860) $268 $268 1.5×
Rbc antibody identification (86870) $331 $331 0.9×
Rbc antibody screen (86850) $216 $216 22.1×
Rbc pretreatment serum (86978) $332 $332 5.3×
Rbc pretx incubatj w/enzymes (86971) $186 $186 1.0×
Renin activity plasma (84244) $246 $246 11.2×
Resp virus 12-25 targets (87633) $1,458 $1,458 3.5×
Reticulated Platelet Assay (85055) $230 $230 6.4×
Reticulocyte Count (85046) $186 $186 33.4×
Reticulocyte separation (86972) $165 $165 0.9×
Rh (86901) $98 $98 32.8×
Rheumatoid Factor Qualitative (86430) $257 $257 41.9×
Rheumatoid factor quant (86431) $163 $163 28.7×
Rickettsia antibody (86757) $281 $281 14.5×
Ristocetin cofactor (85245) $640 $640 27.9×
Rotavirus ag eia (87425) $278 $278 23.2×
Rpr qualitative (86592) $132 $132 30.9×
Rubella Antibody (86762) $232 $232 16.1×
Rubeola antibody (86765) $237 $237 18.4×
Rufinamide (80210) $148 $148 5.5×
Russell Viper Venom Time Diluted (85613) $292 $292 30.5×
Rx metab gen seq alys pnl 6 (81418) $3,879 $3,879 4.2×
Salicylate Level (80179) $216 $216 11.6×
Sars-Cov-2 Covid-19 Amp Prb (87635) $491 $491 9.6×
Sars-cov-2 COVID-19 antibody (86769) $204 $204 4.8×
Sarscov2&inf a&b&rsv amp prb (87637)
range across 2 matching MRF lines
$436–$469 $436–$469 varies
Sedimentation Rate, Automated (85652) $142 $142 52.6×
Selenium (84255) $257 $257 10.1×
Semen Anal Sperm Detection (89321) $286 $286 23.7×
Sensitivity mic (87186)
range across 5 matching MRF lines
$117–$235 $117–$235 varies
Sex Hormone Binding Globulin (84270) $176 $176 8.1×
Sickling of rbc reduction (85660) $172 $172 31.2×
Sirolimus (80195) $386 $386 28.1×
Skin test tuberculosis intradermal (86580) $73 $73 2.4×
Smear acid fast (87206) $219 $219 40.6×
Smear complex stain (87209) $153 $153 8.5×
Smear gram stain (87205) $174 $174 40.7×
Smear Special Stain (87207) $219 $219 36.6×
Smn1 Gen Nown Famil Seq Vrnt (81337) $469 $469 2.5×
Smn1 Gene Analysis Full Gene Sequence (81336) $762 $762 2.5×
Smn1 Gene Dos/Deletion Alys (81329)
range across 2 matching MRF lines
$330–$623 $330–$623 varies
Smr Prim Src Wet Mount Nfct Agt (87210) $159 $159 27.3×
Snrpn/Ube3a Methylation Analysis (81331) $721 $721 14.1×
So neo gsap DNA/DNA&RNA (81459) $4,972 $4,972 1.7×
Sodium Serum (84295) $136 $136 28.3×
Sodium Urine (84300) $95 $95 18.8×
Soluble Transferrin Receptor (84238) $84 $84 2.3×
Somatomedin (84305) $468 $468 22.0×
Somatostatin (84307) $413 $413 22.6×
Special Stains Group 1 (88312) $322 $322 5.8×
Special Stains Group 2 (88313)
range across 6 matching MRF lines
$330–$380 $330–$380 varies
Specific gravity body fluid (84315) $105 $105 32.0×
Specimen infect agnt concntj (87015) $149 $149 22.3×
Spectrophotometry (84311)
range across 3 matching MRF lines
$128–$443 $128–$443 varies
Staph a DNA amp probe (87640) $295 $295 8.4×
Stem cells total count (86367) $418 $418 5.4×
Stool cultr aerobic bact ea (87046) $131 $131 13.9×
Strep a DNA amp probe (87651) $288 $288 8.2×
Strep b DNA amp probe (87653) $319 $319 9.1×
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) $1,196 $1,196 13.0×
Sulfate urine (84392) $51 $51 9.3×
Surg path level iii (88304) $475 $475 8.5×
Surgical pathology level IV (88305)
range across 5 matching MRF lines
$655–$753 $655–$753 varies
Surgical pathology level vi (88309) $1,136 $1,136 1.3×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $153 $153 32.2×
Susceptibility Study Antimicrobial Disk Method (87184) $284 $284 38.0×
Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) $235 $235 5.9×
Syphilis Test Non-Trep Quant (86593) $148 $148 33.6×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $411 $411 8.7×
T cells total count (86359) $207 $207 5.5×
T3 Free (84481) $245 $245 14.5×
T3 reverse (84482) $305 $305 19.4×
T3 Total (84480) $242 $242 17.1×
T3 Uptake (84479) $236 $236 36.5×
T4 Free (84439) $213 $213 23.6×
T4 total (84436) $215 $215 31.3×
Tacrolimus (80197) $319 $319 23.2×
Tau phosphorylated each (84393)
range across 3 matching MRF lines
$526–$949 $526–$949 varies
Tbp Gene Analysis Eval Detect Abnormal Alleles (81344) $276 $276 2.0×
Tert gene targeted seq alys (81345) $1,253 $1,253 6.8×
Test for acetone/ketones (82009) $131 $131 29.0×
Testosterone Bioavailable (84410) $120 $120 2.3×
Testosterone total (84403) $274 $274 10.6×
Testosterone, Free (84402) $269 $269 10.6×
Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445)
range across 2 matching MRF lines
$4,058–$5,150 $4,058–$5,150 varies
Theophylline (80198) $321 $321 22.7×
Thiocyanate (84430) $237 $237 20.4×
Thiopurine methyltransferase (84433) $537 $537 24.2×
Thrombin Time (85670) $149 $149 25.8×
Thromboplastin Inhibition Tissue (85705) $100 $100 10.4×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $239 $239 36.9×
Thyroglobulin (84432) $315 $315 19.6×
Thyroglobulin Antibody (86800) $218 $218 13.7×
Thyroid Stimulating Immunoglobulin (84445) $592 $592 11.6×
Thyroxine binding globulin (84442) $246 $246 16.6×
Tiss cul neo disorders solid tumor (88239) $945 $945 6.4×
Tiss Trnsgltmnase Ea Ig Clas (86364) $222 $222 19.3×
Tissue Culture (88233) $1,219 $1,219 8.7×
Tissue Culture Amniotic Fluid (88235) $1,187 $1,187 7.9×
Tissue culture bone marrow (88237) $1,879 $1,879 13.1×
Tissue Culture Lymphocyte (88230) $1,371 $1,371 11.8×
Tobramycin peak (80200) $334 $334 20.7×
Topiramate (80201) $268 $268 22.5×
Total Tau (84394)
range across 2 matching MRF lines
$526–$659 $526–$659 varies
Touch prep (88161) $411 $411 13.3×
Toxoplasma ab igm (86778) $296 $296 20.5×
Toxoplasma antibody (86777) $344 $344 23.9×
Tp53 gene analysis targeted sequence analysis (81352) $869 $869 2.6×
Transferase Aspartate Amino Ast Sgot (84450) $163 $163 31.5×
Transferrin (84466) $186 $186 14.6×
Trb@ Rearrangement Anal Amplification Method (81340)
range across 2 matching MRF lines
$510–$537 $510–$537 varies
Trg gene rearrangement anal (81342)
range across 2 matching MRF lines
$561–$2,340 $561–$2,340 varies
Trichinella Antibody (86784) $150 $150 11.9×
Trichomonas vagin dir probe (87660) $298 $298 14.9×
Trichomonas Vaginalis Amplif (87661) $179 $179 5.1×
Triglycerides (84478) $202 $202 35.2×
Troponin Quant (84484)
range across 3 matching MRF lines
$303–$367 $303–$367 varies
Tumor immunohistochem/comput (88361) $706 $706 1.8×
Tumor Immunohistochem/Manual (88360) $408 $408 2.2×
Ugt1a1 gene analysis common variants (81350) $789 $789 3.4×
Unlisted Transfusion Medicine Procedure (86999) $165 $165 5.3×
Urea Nitrogen Clearance (84545) $183 $183 25.4×
Urea nitrogen urine (84540) $112 $112 20.1×
Uric acid other source (84560) $160 $160 31.5×
Urinalysis Microscopic Only (81015) $77 $77 25.2×
Urinalysis Volume Measure (81050) $49 $49 13.5×
Urine Bacteria Culture (87088) $176 $176 21.8×
Urine Pregnancy Test (81025) $238 $238 27.6×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $141 $141 44.5×
Valproic acid (80164) $345 $345 25.5×
Vancomycin (80202) $380 $380 28.1×
Varicella-zoster antibody (86787) $156 $156 12.1×
Vasopressin (84588) $494 $494 14.6×
Very Long Chain Fatty Acids (82726) $475 $475 24.1×
Viral Culture (87252) $464 $464 17.8×
Virus antibody nos (86790)
range across 12 matching MRF lines
$165–$359 $165–$359 varies
Virus inoculation, shell via (87254) $291 $291 14.9×
Viscosity serum (85810) $231 $231 19.8×
Vit D 1 25-Dihydroxy (82652) $394 $394 10.2×
Vitamin A (84590) $156 $156 13.4×
Vitamin b-12 (82607) $355 $355 23.5×
Vitamin B2 (Riboflavin) (84252) $308 $308 15.2×
Vitamin B6 (84207) $342 $342 12.2×
Vitamin c (82180) $110 $110 11.1×
Vitamin D 25-Hydroxy (82306) $293 $293 9.9×
Vitamin E (84446) $211 $211 14.9×
Vitamin K (84597) $624 $624 45.5×
Volatiles (84600) $280 $280 16.4×
Voltage-Gated Calcium Channel Antibody Each (86596) $428 $428 35.5×
Von willebrand factor ag (85246) $558 $558 24.3×
West nile virus ab igm (86788) $208 $208 12.3×
West Nile Virus Antibody (86789) $208 $208 14.5×
Western Blot Test (84181) $357 $357 21.0×
Xm Archive Tissue Molec Anal (88363) $105 $105 3.4×
Zika Virus Igm Antibody (86794) $218 $218 12.9×
Zinc (84630) $152 $152 13.3×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.